| NPI | 1093073629 |
|---|---|
| Former Name | AMANDA M ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60668472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD166587) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2019-12-15 |